Individual
TERRY WILAMOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LLP
Contact information
Practice address
340 N MAIN ST, SUITE 318, PLYMOUTH, MI 48170-1249
(734) 454-3560
(248) 391-7478
Mailing address
3694 CLARKSTON RD, SUITE D, CLARKSTON, MI 48348-5213
(734) 454-3560
(248) 391-7478
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010495
MI
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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